[Topographical and anatomical characteristics of the vertebral artery in the third segment].

Lesions of the vertebral arteries (VAs) are encountered in clinical practice comparatively often. They can be manifested by a wide range of signs and symptoms, including transitory ischaemic attacks in the vertebrobasilar basin, ischaemic strokes (IS), and chronic insufficiency of cerebral circulation with the transition into vascular encephalopathy. Surgical management of VA proximal stenoses requires that the surgeon be highly qualified, because it is associated with a high rate of both intra- and postoperative complications (amounting to 10-15%), including ischaemic strokes, thrombosis of the reconstruction zone, haemorrhage, lymphocele, as well as lesions of thephrenic, recurrent, and sympathetic nerves.

Surgical management of vertebrobasilar insufficiency due to pathology of the second-third segments of the vertebral artery.

Aim Of The Study: To determine efficacy of surgical management for vertebrobasilar insufficiency (VBI) associated with pathological passage of the vertebral artery (VA) within the bone canal.

Materials And Methods: Over the period from 2003 to 2008, a total of twenty-five patients with no effect of conservative therapy during 6 months were subjected to reconstruction of the VA in the 3rd segment. The access to the artery was obtained in a manner similar to that used in reconstruction of the carotid arteries, without intersecting the nodding muscle.

[Minimally invasive surgery of varicose disease].

The authors present a comparative analysis of operative treatment of 301 patients with the varicose disease operated on by traditional methods, and 206 patients subjected to minimally invasive operations. In the first group 8.3% of the patients had wound complications, 1.

[Incidence and characteristics of lesions of extracranial segments of the brachiocephalic arteries in patients with ischemic heart disease].

The results of investigation are reviewed in 563 patients with angiographically-confirmed coronary arterial lesions. Combined affection of coronary and brachiocephalic arteries was recorded in 106 (18.8%) patients with isolated lesions of brain-supplying arteries in 59 and multiple lesions in 47.